• Senior Director- Payor Contracting

    WellSpan Health (York, PA)
    Senior Director- Payor Contracting Location: WellSpan Health, York, PA Schedule: Full Time General Summary Participates in third party payor contract ... individual one on one meetings with direct reports, monthly Payor Contracting Update meetings for internal matrix...skills + Excellent oral and written communication skills + Data and analytics knowledge Apply Now You're… more
    WellSpan Health (09/13/24)
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  • Director, Payor Access Marketing - Obesity

    Boehringer Ingelheim (Ridgefield, CT)
    …Access- Medical, Brand Marketing, Analytics and colleagues to capture relevant payor insights, identify data gaps, develop compelling value propositions and ... **Compensation Data ** This position offers a base salary typically...colleagues such as Marketing Access Marketing, HEOR, Pricing and Contracting , Payor sales and teams outside of… more
    Boehringer Ingelheim (09/03/24)
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  • Senior Business Intelligence Developer (Managed…

    Vanderbilt University Medical Center (Nashville, TN)
    …content, including Managed Care Contracting , Revenue Cycle, and Compliance. Designs data models used for reporting and analytics , develops ETL processes for ... Care Contracting , Revenue Cycle, and Compliance. Designs data models used for reporting and analytics ,...and loss reports on individual contracts. **Compliance** : Audit payor contracts in EPIC patient billing system to ensure… more
    Vanderbilt University Medical Center (09/18/24)
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  • Service Line & Analytics Administrator

    Albany Medical Center (Albany, NY)
    …Work Shift: Day (United States of America) The Service Line and Analytics Administrator will be primarily responsible for supporting system-wide service line ... entity to make sure service line hierarchies and patient data fields are set up to optimal standards by...for our managed care contracts in addition to government payor modeling. They will ensure the contract analysis module… more
    Albany Medical Center (09/24/24)
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  • Market Access Reporting and Analysis Manager

    AbbVie (San Juan, PR)
    data analysis that advises and optimally executes AbbVie's contracting strategies. Responsibilities + Responsible for communicating findings, results and ... Job Description As a key member of the Contract Analytics team, this individual will closely collaborate with internal...as well as field-based Account Managers to establish approved contracting terms. With a focus on commercial and government… more
    AbbVie (09/24/24)
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  • Director, Early Value Lead- Mental Health

    Boehringer Ingelheim (Ridgefield, CT)
    …HEOR, regulatory, finance, GTN, forecasting and corporate colleagues to capture relevant payor insights, identify data gaps, and through close alignment with ... **Compensation Data ** This position offers a base salary typically...access assessments, defining optimized launch sequencing and co-development of payor value propositions that illustrate the value of the… more
    Boehringer Ingelheim (08/03/24)
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  • Senior Analyst - Revenue Management

    BrightSpring Health Services (Denver, CO)
    …preferred + Three or more years of work experience in Finance, Accounting, or Data Analytics . Prior experience in healthcare revenue cycle, preferred + Excellent ... day-to-day analysis and reporting needs to support Managed Care contracting , payor maintenance, negotiation, management, and ad...+ Present findings to executive leaders and use a data driven approach to make recommendations to leadership +… more
    BrightSpring Health Services (09/10/24)
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  • Operations Analyst and Manager

    Mount Sinai Health System (New York, NY)
    …of project status and implications for completion. 9. Provides technical support to data analytics functions as they relate to varied business units, and ... **Job Description** The Data Science Analyst I collaborates with stakeholders from...informaticist highly valuable. + Experience working in healthcare provider analytics related to revenue modeling, managed care contracting more
    Mount Sinai Health System (07/26/24)
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  • Manager, Contracts Compliance

    Boehringer Ingelheim (Ridgefield, CT)
    …LTF Development and Process. Ensure accrual projections are accurate and reflect Contracting strategies for internal stakeholders within Analytics and Insights ... **Compensation Data ** This position offers a base salary typically...group efforts as required in order to support the Contracting Department's efforts to maximize revenue and minimize liabilities.… more
    Boehringer Ingelheim (08/15/24)
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  • Value Based Contract / Cost of Care Consultant

    Elevance Health (Waukesha, WI)
    …realized and recommends modifications as applicable. + Educates provider contractors on contracting analytics from a financial impact perspective. + Communicates ... analytical support to the Cost of Care and/or Provider Contracting organizations. This position will support pre-negotiation modeling, reconciliation questions… more
    Elevance Health (09/17/24)
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  • Sr. Director Finance - Medical Group

    HonorHealth (Scottsdale, AZ)
    …(government and private), Physician and staff labor productivity, physician and payor contracting , capital prioritization, and various supplier services will ... Summary This key role will add objectivity, creativity and fiscal coaching using analytics to help the organization and other leaders monitor and understand clinical… more
    HonorHealth (08/20/24)
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  • Provider Contract/Cost of Care Analyst Sr.

    Elevance Health (Miami, FL)
    …standardized practices to optimize cost of care. * Educates provider contractors on contracting analytics from a financial impact perspective. * May recommend ... analytical support to the Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving...**How you will make an impact:** * Performs varied data analyses * Develops moderately complex ROI models and… more
    Elevance Health (09/22/24)
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  • Sr. Manager, Network Optimization

    Healthfirst (NY)
    …in collaboration with Claims and Provider Operations, Contract Configuration, Financial Analytics and Medical Economics teams, to develop and maintain clear PADU ... guidelines for best-in-class contracting methodologies, leading to operational and economical efficiency. +.../ hospital settlements review process and reconciliation. + Evaluate data to identify and root cause of payment integrity… more
    Healthfirst (09/27/24)
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  • VP Market Executive - Sepa

    Highmark Health (Wilmington, DE)
    …potential new asset development, or other provider site of care changes. + Along with Data and Analytics , work in partnership with segment leads and with health ... meeting targets in areas of Risk Revenue, Quality/stars, affordability, reimbursement/ contracting trend, network alignment. + Alongside the segment partners, ensure… more
    Highmark Health (09/27/24)
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  • Vice President Adult Ambulatory Operations…

    Vanderbilt University Medical Center (Nashville, TN)
    …with various VUMC constituents (eg, Legal, Chairs and Chiefs, Operations, Finance, Payor Contracting , IT, Executive Staff, VHAN, etc.) to secure approval. ... + Master's Degree in Healthcare Administration, Public Health, Finance, Analytics , and/or Business Administration + 15+ years' experience in ambulatory… more
    Vanderbilt University Medical Center (09/26/24)
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  • Director of Provider Engagement

    Somatus (Charlotte, NC)
    …across cross-functional teams (leadership, marketing, account management, product and development, data and analytics , market operations and clinical). + Ability ... and financial objectives in the market. + Utilize provider data from RenalIQ to identify areas for improvement and...Somatus' Product and Innovation team. + Collaborate with Somatus' payor partner market teams to ensure alignment with provider… more
    Somatus (09/06/24)
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  • Managed Care Contract Specialist - CBO Managed…

    ProMedica Health System (Toledo, OH)
    …Health Network). Objective is to provide best in class managed care contracting , analytics , education, and service. ACCOUNTABILITIES 1. Operate as team ... 3. Lead interdisciplinary team of key stakeholders involved in analyzing relevant data to identify industry changes and policies made to managed care contracts… more
    ProMedica Health System (08/08/24)
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